Individual provider Active NPI

Stephenie Lynn Bauer, MS LIMHP LADC

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1831286566
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1026 Issued in NE
Practice address
2124 N Lafayette Ave
Grand Island, NE 68803-2048
Phone
(083) 384-2265
Fax
(308) 384-2243
NPI assigned
Oct 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 633 NE
Mental Health Counselor 101YM0800X 2955 NE
Professional Counselor 101YP2500X 1535 NE
Mental Health Counselor 101YM0800X 1026 NE Primary

Addresses

Primary practice location

2124 N Lafayette Ave
Grand Island, NE 68803-2048

Mailing address

2124 N Lafayette Ave
Grand Island, NE 68803-2048
Phone (308) 384-2265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201002032 NE Practitioner - Mental Health Counselor 3870941784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
633NEMDAddiction (Substance Use Disorder) Counselor
1535NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Health CurrentSince Jan 1, 2024 Accepting new patients
Alegent Creighton Health CurrentSince Jan 1, 2024 Accepting new patients
Behavioral Health Specialists Sunrise Place Past Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

2124 N Lafayette Ave
Grand Island, NE 68803
Phone (308) 379-1949

7261 Mercy Rd
Omaha, NE 68124
Phone (402) 398-6248

7101 Newport Ave
Omaha, NE 68152
Phone (402) 572-2905

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1831286566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 N LAFAYETTE AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688032048",
            "telephone_number": "308-384-2265",
            "fax_number": "308-384-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 N LAFAYETTE AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688032048",
            "telephone_number": "083-384-2265",
            "fax_number": "308-384-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUER",
        "first_name": "STEPHENIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "MS LIMHP LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "633",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2955",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1535",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "1026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.